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Patient Financial Services Representative

Category

Administration

Organization:

Kinston Community Health Center, Inc.

Location:

Kinston, North Carolina • Lenoir County

Date Needed:

January 11, 2022

Organization Website:

Type Of Position:

Full Time

Education Required:

Associate's

Experience Required:

3-5 year(s)

Date Of Job Posting:

December 23, 2021

Job Description:

Patient Financial Services Representative

Full-Time

Minimum Qualifications:

High School Diploma; Associates degree preferred.
Experience and/or training in ob-gyn billing and charge entry; or equivalent combination of education and experience; Ob-Gyn preferably
Satisfactory professional references.
Certified Coder from the American Health Information Management Association and/or American Academy of Professional Coders preferred, but not required.
Experience: 2-5 years of related experience preferable in a clinical setting
Must be COVID vaccinated or willing to take vaccination upon employment
Duties:

•Review and post all denial for Medicaid, Medicare, and all other commercial insurances for the organization.

•Responsible for the timely preparation and release of monthly denial report to supervisor.

•Contact other healthcare facilities as necessary to obtain authorization for Carolina Access patients

•Responsible for processing refund request letters received from various payers in a timely manner.

•Review claim status for accuracy to assure that payment is received.

•Complete file resolution inquiries for Medicaid and/or complete appeals form for Medicaid and commercial insurance

•Maintain open claims reports and aging reports for Medicaid and commercial payments

•Will attend trainings for Medicaid or any other relevant billing seminars.

•Submit all denied electronic claims via mail for payment approval, must utilize the appropriate CPT and ICD 9/10 codes prior to submission.

•Prepare correspondence letter for patients and/or insurance company stating reason for claim denial.

•Prepare Medicaid itemized statement as requested by the Department of Social Services or the patient.

•Submit Day sheet on a daily basis to Patient Financial Services Supervisor as needed.

•Addresses bad debts according to KCHC protocols.

•Batch out posted charges and payments

•Maintain receipt of all incoming checks and payments for medical services.

•Completes all other duties as assigned.

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